Report Form:
Additional Information

Report Form: Purpose and Use
Complete a comprehensive report form to be received by the Safety Liaison:
Riley Crozier

REPORT FORMS
click event name to access
Jack & Jill O'Rama 2025
Wild Wild Westie 2025
Capital Swing Convention 2025
Swing Resolution 2025
Boogie by the Bay 2024
Desert City Swing 2024
Swingtacular 2024

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• Choose how your identity and report contents are handled:
customize your anonymity, confidentiality, and
data storage

• Request actions from Safety Liaison and/or the Event Response Team

• Indicate contact preferences for ongoing communication (if desired)

Time to Complete:
10+ minutes

Timeline for Response (if requested): 30-60min while on shift

Safety Liaison Schedule

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WHAT TO EXPECT AFTER SUBMITTING A REPORT

Upon receipt of your report, the Safety Liaison will follow your requests around anonymity, confidentiality, and contact *to the detail*, as well as assess and initiate processes to facilitate any action requests, within 30 minutes of submission during scheduled hours, and within one hour of the start of a shift if the report comes in off-hours. The only exception to this timeline would be due to delays in event schedules that impact Riley's schedule, or a significant backlog of reports.

If a report is submitted before or after the event, the Safety Liaison will process the report at their earliest convenience and within one week.

ONGOING SAFETY PROTOCOLS

- The requests and safety of the reporter will be prioritized.
- No information from this form will be shared and no action will be taken unless approved by the reporter.
- If actions or contact are requested, Riley will do their best to honor the requests indicated in your form response.
- If a situation is ambiguous, Riley will side with anonymity and confidentiality over action or disclosure.

THE IMPACT OF ANONYMITY and/or CONFIDENTIALITY on ACTION REQUESTS

Any actions requested by the reporter that require approval by the Event Response Team will require that Riley convey the requested actions to the relevant member(s) of the Event Response Team. Members of the Event Response Team have a particular authority to authorize restorative actions. You may consent to one, some, all, or none of these individuals knowing your identity or the contents of your report.

If you would like action that must be authorized by the Event Response Team, please note that it will require your consent to share the content of your report with relevant members of the Event Response Team. This consent can be given in the report form, or you can request within the form that Riley contact you directly to clarify what information is shared with the Event Response Team.

DATA STORAGE

Information submitted to the Report Form will autofill into a Google Sheet, which will be kept confidential and will only ever be accessed by Riley Crozier. You may opt in to have specific information from your report kept on file for future use at the end of the form. Otherwise, the information in this report will not be used in any future data compilations.